探究医护一体化管理在老年肺康复中的护理效果及对生活质量的影响  

Effects of Integrated Medical and Nursing Management on Nursing Outcomes and Quality of Life in Elderly Pulmonary Rehabilitation

作　　者：谢芳娜 詹宗芳 章亿香 陈嘉雯 许玉珍 XIE Fangna;ZHAN Zongfang;ZHANG Yixiang;CHEN Jiawen;XU Yuzhen(Department of Geriatrics,Guangxi Zhuang Autonomous Region Workers Hospital,Nanning,Guangxi Zhuang Autonomous Region,530021,China)

机构地区：[1]广西壮族自治区工人医院老年医学科,广西南宁530021

出　　处：《中外医疗》2025年第7期99-103,共5页China & Foreign Medical Treatment

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220347)。

摘　　要：目的探究医护一体化管理应用于老年肺康复患者的效果及对生活质量的影响。方法随机选取2022年1月—2023年12月广西壮族自治区工人医院治疗的100例老年社区获得性重症肺炎患者作为研究对象,按照不同护理方法分为干预组(50例)和对照组(50例),对照组予以患者常规护理干预,干预组予以医护一体化管理模式,比较两组患者护理满意度、生活质量调查简表(MOS 36-Item Short Form Health Survey 36,SF-36)评分,圣乔治呼吸问卷(St.George's Respiratory Questionnaire,SGRQ)评分。结果护理前,两组患者SF-36评分、SGRQ评分比较,差异均无统计学意义(P均>0.05);护理后,干预组SF-36评分高于对照组,SGRQ评分低于对照组,差异均有统计学意义(P均<0.05)。干预组护理满意度为98.00%(49/50),高于对照组的86.00%(43/50),差异有统计学意义(χ^(2)=4.891,P=0.027)。结论医护一体化管理模式应用于老年社区获得性重症肺炎患者,可明显提高护理满意度与生活质量,积极改善相关呼吸症状,促进康复进程。Objective To explore the effect of integrated medical and nursing management in elderly patients with pulmonary rehabilitation and its impact on quality of life.Methods A total of 100 elderly patients with communityacquired severe pneumonia treated in Guangxi Zhuang Autonomous Region Workers Hospital from January 2022 to December 2023 were randomly selected as research objects,and divided into intervention group(50 cases)and control group(50 cases)according to different nursing methods.The control group was given routine nursing intervention,and the intervention group was given integrated medical and nursing management mode.The nursing satisfaction,MOS 36-Item Short Form Health Survey 36(SF-36)and St.George's Respiratory Questionnaire(SGRQ)were compared between the two groups.Results Before nursing,there was no significant difference in SF-36 score and SGRQ score between the two groups(both P>0.05);after nursing,SF-36 scores in the intervention group were higher than those in the control group,and SGRQ scores were lower than those in the control group,the differences were statistically significant(both P<0.05).Nursing satisfaction in the intervention group was 98.00%(49/50),which was significantly higher than that in the control group 86.00%(43/50),the difference was statistically significant(χ^(2)=4.891,P=0.027).Conclusion The application of integrated medical and nursing management mode in elderly patients with communityacquired severe pneumonia can significantly improve nursing satisfaction and quality of life,actively improve related respiratory symptoms,and promote rehabilitation process.

关 键 词：医护一体化管理 老年肺康复 护理效果 

分 类 号：R473[医药卫生—护理学]